On the drive home from my first appointment with the reproductive endocrinologist (RE) I sulked. I was so happy that finally I had an answer to why I wasn't getting a period but I also questioned the diagnosis. Girls with HA have eating disorders, are very under weight, exercise/sports like crazy (this is what I learned in school). I didn't fit this, I ate enough (so I thought), I exercised no more than the average crossfit person (not gonna lie I was HARD into crossfit), I didn't have an eating disorder and my weight was normal (according to me I was overweight but thats another story). So I sat with this and really thought about it. At this point it was really hard for me to trust a doctor due to years of misdiagnoses or subconsciously was it because I really didn't want to stop exercising? So until my next appointment with the RE I continued to question HA vs. PCOS. I really was bent on having insulin resistance, I thought this was the reason why I wasn't losing weight. I exercised my butt off and wasn't eating a ton. The only thing I could attribute to this was insulin resistance. In a nut shell, insulin resistance inhibits the body to be able to lose weight effectively. My thought (because this was what I was taught in school) was less energy in and more energy out equals weight loss (which now I have learned is NOT true). So I begged my RE to run a glucose/insulin tolerance test. He wouldn't, he said there is no point because you are not insulin resistant. So then I called my OB-GYN to see if they would order it, nope. Then I called my primary care doctor and explained the situation and she would not order it. I cried until my eyes were ready to pop out of my head, I needed this test to once and for all confirm my questioning for my diagnosis. Or did I need it for confirmation of why I wasn't losing the weight or had the perfect body because I ate so well and exercised so much?
Mind you I have been investigating and trying to control my PCOS for years. Years of energy spent waking everyday and having this be my mission to "cure" what was causing no period. Years of pushing my self to the gym every day at 5am and then coming home after work and running. Years of eating "clean". Years of obsessing over my body and the abs I always dreamed of. I was exhausted! Mentally and physically. Ladies, this is when I hit my BREAKING POINT and knew it was time to change. I had to stop controlling outside factors and work healing, loving and accepting my body.
You may question, why this happened to a nutrition professional that is Registered Dietitian. Shouldn't I have known better? During my undergrad work we were taught strictly conventional approaches. Weight loss equals less food in and more exercise. We were taught healthy IS eating only "good" foods. We were also taught high weight status is directly related to co-morbidities such as heart disease, diabetes etc. It was not until I graduated and earned my credentials that I learned that everything that was taught in school wasn't everything. As an RD you can venture off into different avenues of nutrition. Practicing nutrition is one of the most diverse practices in the world. Specifically because one way of nutrition does not fit everyone.
Please check out my guest blog on Dr. Nicola Rinaldi's site. Here I explain my journey to becoming a Non-Diet Dietitian. Dr. Rinaldi is the Author of No Period, Now What. Anyone struggling with HA, I highly recommend this book.
Who Needs a Period? They are a pain in the a** anyway !